Marissa Camp
Nurse Practitioner, Family in Kansas City, MO. Individual provider (NPI-1).
NPI number1104765098
StatusActive
Last updated in NPPESOct 4, 2026
Details
- NPI
- 1104765098
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marissa Camp
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2026
- Certification date
- Oct 4, 2026
- Last updated
- Oct 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2026042448 | MO | Yes |
| 163W00000X | Registered Nurse | 2017003019 | MO |
Practice location
2401 Gillham RdKansas City, MO 64108-4619
Phone 816-234-3000
Mailing address
1512 Nw Whispering CtGrain Valley, MO 64029-8015
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